Nursing Shortage

Six years prior to the publication of Spetz and Given, reports of the US media prove a paucity of registered flirt withs (RNs) in the US. In that hold too, forecasts see the pertinacity of this trend, such(prenominal) as that of the Bureau of health Professions projecting a famine of 800,000 admits by 2020. However, Buerhaus et. al. suggests that the c atomic bite 18 for dearth may actually be satiated, with hospital RNs employment and earnings increasing sharply in 2002. No issuance how we look at it, whether or non the deficit is easing, the problem of shortage is on that point. The question now is, what causes the shortage of registered nurses?Spetz and Given discusses four creators that look for the shortage of registered nurses, first of which argon licensure quells. Since World War II, breast feeding shortages have occurred cyclically, and this direct to the birth of studies regarding assiduity markets. They (Spetz and Given) found most of these studies agreeing on the point that the delay between good deals choice of the nursing profession and the eon they are licensed as nurses is a central reason for these continual shortages.Poor extends conditions also account for the shortage of RNs, and this includes wage and benefits in general. Not much was mentioned by Spetz and given, just now they have cited that these are a primary cause of nursing shortage. Aiken et.al. gives a much detailed explanation, stating that nurses shake off an inordinate amount of clipping in nonnursing tasks resulting from misfortunate work design, underinvestment in information and different nurse-saving technologies. They further add that is associated with mettlesome levels of nurse burnout and dis rapture.The threesome reason for the nursing shortage is comprised of return and pick up. Spetz and Given maintains that demand for RNs should resist as RNs wages subjoin during a shortage, and they have seen evidences showing that wages do us urp demand. However, there are reasons for demand to be not responsive in todays outwear market. Two of these reasons are the reluctance of health care institutions to reduce staffing, and the growing number of RN Unions that want to maintain, if not to develop, the current staffing levels. other scenario relating to the issue of wages and demand is seen in Aiken et.al., where it was mentioned that the Philippines is the leading primary source country for nurses internationally by design and with the support of the regime. A motivator for Philippine nurses to migrate to other countries is higher wages, which sightnot be earned in the local setting. This may account for the shortage that the country itself was experiencing, as Aiken et.al. found that there are more than 30,000 unfilled nursing positions in the Philippines. Last of the causes of the nursing shortage, as discussed by Spetz and Given, are exits from the RN workforce. According to them, the magnitude of retirements p oses the question of whether it is possible to intensify the number of new RNs to meet future demands.One solution to the nursing shortage, and maybe the most popular today, is to recruit international nurses. Spetz and Given find out this to be only a short-term option as it is dearly-won and the WHO reports majority of the countries experiencing nurse shortages, thereby putting a pressure on hospitals to limit foreign recruitment. Buerhaus et. al. goes farther to discuss other issues relating to the employment of foreign RNs to meet US health care demands. They cite impediments such as ilkly negative impact on wages, quality of care, and foreign policy.Another solution suggested by Buerhaus et. al. is to retain older RNs. In night club to do this, facilities of health care systems should be designed so as to play down physical strain. According to them, altering schedules ( operative fewer hours), developing new roles (becoming mentors to younger RNs), and offering economi c incentives stinkpot help to retain older RNs. still among the three broad types of policy responses that Buerhaus et.al. suggested, I find increasing the race of RNs in the workforce to be the most responsive, because that is exactly called for by the situation. This fundament be done either privately or by the government through raising money to increase faculty salaries and scholarship grants, and expand the physical learning space of nursing students.WORKS CITEDAiken, Linda, Buchan, James, Sochalski, Julie, Nichols, Barbara, and Mary Powell. Trends in International Nurse Migration. Health Aff ways 23.3 (2004) 69-77. 25 November 2008, http//content.healthaffairs.org/cgi/content/ broad/23/3/69?maxtoshow=&HITS=60&hits=60&RESULTFORMAT=&fulltext=nursing+shortage&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&resourcetype=HWCITBuerhaus, Peter, Staiger, Douglas, and David Auerback. Is The Current Shortage of Hospital Nurses Ending? Health Affairs 22.6 (2003) 191-198. 25 November 20 08, http//content.healthaffairs.org/cgi/content/abstract/22/6/191Spetz, Joanne, and condolence Given. The Future of the Nurse Shortage Will Wage Increases Close the bed cover? Health Affairs 22.6 (2003) 199-206. 25 November 2008, http//content.healthaffairs.org/cgi/content/full/22/6/199 nurse ShortageThis paper aims at analyzing the consequences of understaffing nurses. Some of the outcomes I spy this semester are nurse burnout and dissatisfaction that arise collectable to nurse shortage. The focus of this scope is on the socio-economic impact in the nursing field, ethical bias, legality of the event and psychological interference that have adverse impact to the nurses, uncomplainings, clinical operative field and the nursing sector. In this paper, I provide look at some of the problems associated with the nursing profession.NURSES WORKING AND CONDITIONSThese are stipulations and circumstances, which enhance persistence and freight to work comfortably as a nurse, with all imputable satisfaction and dignity for gentlemans gentleman intent, for better supply of work force toward a priggish medical care to the patients.NURSE BURNOUTThis is a character associated with nurses when they beseem psychologically or emotionally exhausted to attend the patients. This is because of beingness overworked, exploited, due to fatigue or due to dissatisfaction in their field of work.INTRODUCTIONIn enact to curtail on the trauma of nurse shortage, I would like to say that nurses shortage only creates some awareness that patients are at risk of substandard health care and the functional nurses are being overworked. This is because in this semester, I have observed that small nurse/patient ratio does not guarantee for better patients outcomes and assurances of proper health function. When nurses experience physically exhausted due to being overworked, they brush offnot perform their duty efficiently.breast feeding is a professional course and a career that need to be communicate from all perspectives, to encourage proper working conditions for the nurses in come in to have a maximum labor output for the wellbeing of the patients. executive director DISCUSSIONActually, overworking nurses by allowing them to work for long hours and overtime makes nurses to be susceptible to making prescription errors. This is highly exaggerated when the profits income does not correspond with the work nurses do.However, if these errors occur, it is contrally to the nurses professional ethics, it is illegal to prescribe a upon dosage to a patient and once more there is abuse of human rights in that the patient can suffer psychological torture if he realizes that he was specified a bad prescription. This is what raises the legal issue of nurses. Because of such mistakes, nurses are forced to spend too much money in hiring private lawyers or insuring themselves against such bias. Beside legal issues, amiss(p) prescriptions of drugs leads to wastage of med icines that could be utilize by another(prenominal) patient utilely, hence wastage resources since medicines are among the most high-priced items.Additionally, Wrong prescription of drugs can lead to loss of life, retardation or other body malfunction. This can cause more harm to the dry land by losing individuals. If overall effects of such errors were analyzed, the finale would be wastage of time when prescribing wrong dosage, wastage of resources and drugs, loss of human labor and abuse of human rights. Therefore, there would be bleach of law, socio-economic impact and denial of safe health care. Eventually, this would be a great loss to the nation and the impact is felt in the near future.Therefore, means of solving the above problems need to be realized. I think labor indigences, recruitment of more nurses and retention of the registered nurses should be advance in order to maintain successful dedication of nurses to their nation as they work smoothly without strain. Unde rstanding of the staffs requirements and avoidance of understaffing in this sector is of overriding importance.According to the denomination on Allied Health Source and ProQuest Nursing, the executive summary is that nurses are not satisfied in their career. out-of-pocket to this outcome, some of the repercussions are that physically exhausted nurses do prescribe wrong dosage to patients or they may prescribe right drug but misguide patients on how to use the drugs.Another outcome is that most nurses are leaving the nursing profession and pending nurses are not instinctive to join the sector. Low level of job satisfaction is the main reason as to why most nurses are migrating to other fields of employments. This again leads to understaffing of hospitals leading to high death rate, failure to win safe and effective care to the patients. Eventually this results to failure to rescue the patients from undesired death especially in the surgical department where the patients are not rescued.From the equal article on nurse staffing and hospital outcomes (Linda H. and Julie S.),it is found that the dissatisfaction is caused by law salary income, poor working conditions such as nonflexible hours of work that do not give married nurses time to look after their siblings. Another determination is that starting salary or wages do not increase with the prolonged period of work, therefore, there is successive exploitation to the nurses.According to the article on Allied Health Source and ProQuest Nursing, work conditions that affect the outcomes of nurses involve lack of labor motivations such as baby boomer packages, failure to provide flexible working hours for the nurses, failure for the government to provide scholarship to nurses who want to advance their knowledge on this career.According to the same article by Linda H. and Sean P. pg 4, nurse burnout is the main consequence of overworking staffs and it can lead to more outcomes. Actually, patients/nurses ratios that are more constructive result to pass up nurse burnout and high job satisfaction among the registered nurses. Understaffing nurses can extremely lick patients outcomes.Working conditions that affect the outcome of nurses include poor working conditions such as understaffing that leads to overworking the nurses without paying them their due overtime. (Agency for Healthcare Research and caliber (AHRQ) www.ahrq.govAnother condition that affects nursing profession is failure by the health ministry to provide encouraging packages to the nurses and other benefits. These benefits involve giving nurses flexible working hours such that they can concentrate on their family matters or providing nursing homes for their children and care. other factors include lack of offering free seminar services to the nurses in order to update and sensitize them on the need and benefits to be a nurse and to encourage those leaving the sector to rejoin it. Lack of recognizing their efforts and contri butions to this sector is another issue that does not address their working conditions. Nurses must also be insured in order to safeguard their wellbeing and protection in their line of duty. Finally, lack of labor motivations to the nurses such as gifts, prizes and awards to the best playacting nurses is something that derails their morale and dedications to be a nurse and can lead to nurse burnout.In this semester, I have also observation that there is high nurses work overload and low technology application. Therefore, there is need to rationalize death rate and increase retention of staffs (nurses) in hospitals. More number of nurses to patients ratio can lead to a better patient outcome. Therefore, work force balance for the nurses is maintained in order to enhance proper working conditions for the nurses.PERSONAL EXPERIENCEMy experience with the nursing profession tells me that nursing career is not an easy profession the way most people perceive. It needs a call to be dedic ated in this service. line of products that nursing involves taking care mostly to sick people from casualties to labor ward and mostly contamination is a loaming threats to the nurses. Therefore, the nurse should have a maternal feeling and concern of the high level in order to safe lives strictly obeying the code of ethics.PROPOSAL FOR CREATIVE SOLUTIONSMostly labor motivation is the main tool to fight decrease of nurses from nursing sector. These will include providing nurses with proper and flexible working hours or services that are more rewarding. Another way is by means of helping them to bring family matters or factors that lead to their failures to work comfortably. These include if possible giving nurses services of caring for their children, the aged or by providing nursing homes to them with free or minor charges.Another solution is to offer aided scholarship to those nurses unstrained to advance their career especially in areas where more nurses are essential e.g. i n gerontology and provision of geriatric clinicians. Again, nurses should be hired or employed from different regions irrespective of ethnicity and racial segregation. Application of latest technologies in nursing sector and outsourcing can be tried to improve working conditions in this sector.Some of the proposals that address outcomes for the nurses are varied to improve the outcomes for the patients. Understaffing of nurses indirectly affects the outcome of the patients. Therefore, proposals for outcomes of the nurses are determining factors to improve the outcomes of the patients. Mostly labor motivation is the main factor to fight decrease of nurses from nursing sector and this can improve the outcomes of the patients. These will include providing nurses with proper and flexible working hours or services that are more rewarding.By allowing nurses to work comfortably, nurse burnout can be avoided, hence patients can be attended with all due care because nurses wont be exhausted. Patients should be allowed to interact freely with the nurses to air their problems and complications. Again, patients should accorded all due respect in their treatment and assured of life continuation through proper medical care. Application of latest technologies in nursing sector and outsourcing can be tried to improve working conditions in this sector.CONCLUSIONSome of the problems associated with the nursing profession include poor working conditions that have effects to both the nurses, patients and the nursing sector at large. After analyzing these problems, I have decided to draw a conclusion that creative solutions and labor motivations are the major factors that need to be addressed in order to safe the situation as far as nursing career is concerned.REFERENCEBurnout, staffing and outcomes of nurses, retrieved on 7TH NOVEMBER 2007, available at www.ahrq.govDohm A, Gauging the Work Force Effects of Retiring Baby-Boomers, Monthly Labor depth psychology (July 2000)17-25Nati onal union for Nursing, retrieved on 7TH NOVEMBER 2007, available at www.discovernursing.comStrategies to revolutionize the New Nursing scarcity, retrieved on 7TH NOVEMBER 2007, available at www.aacn.nche.edu